Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-25T19:39:12.820Z Has data issue: false hasContentIssue false
  • English
  • Français

Child Care Center Exclusion Policies and Directors' Opinions on the Use of Antibiotics

Published online by Cambridge University Press:  02 January 2015

Nkuchia M. M'ikanatha ,
Leanne B. Gasink ,
Allen Kunselman ,
Kimberly Warren  and
Ebbing Lautenbach
Nkuchia M. M'ikanatha*
Affiliation:
Pennsylvania Department of Health, Harrisburg, Pennsylvania Center for Education and Research on Therapeutics, Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Pennsylvania
Leanne B. Gasink
Affiliation:
Center for Education and Research on Therapeutics, Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Pennsylvania Division of Infectious Diseases, Department of Medicine, Pennsylvania
Allen Kunselman
Affiliation:
University of Pennsylvania School of Medicine, Philadelphia, Division of Biostatistics, Department of Public Health Sciences, Penn State College of Medicine, Milton S Hershey Medical Center, Hershey, Pennsylvania
Kimberly Warren
Affiliation:
Northeast District Office, Pennsylvania Department of Health, Wilkes-Barre, Pennsylvania
Ebbing Lautenbach
Affiliation:
Center for Education and Research on Therapeutics, Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Pennsylvania Division of Infectious Diseases, Department of Medicine, Pennsylvania
*
Division of Infectious Disease Epidemiology, Pennsylvania Department of Health, Harrisburg, PA 17120 (nmikanatha@state.pa.us)
Get access Rights & Permissions [Opens in a new window]

Abstract

We studied exclusion policies and child care center directors' opinions regarding antibiotic use for childhood illnesses. Among 135 respondents, 96.9% reported that they had written policies on exclusion of children for acute illnesses. Although 52.4% of respondents agreed that children are prescribed antibiotics unnecessarily, 89.1% believed that parents pressure physicians to prescribe unnecessary antibiotics.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 4 , April 2010 , pp. 408 - 411
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004;113(5:1451–1465.Google Scholar
2. Fry Communications. The Pennsylvania Code Chapter 27.71: Exclusion of children, and staff having contact with children, for specified diseases and infectious conditions, http://www.pacode.com/secure/data/028/chapter27/s27.71.html. Accessed September 10, 2009.Google Scholar
3. Bradley, RH, National Institute of Child Health and Human Development Early Child Care Research Network. Child care and common communicable illnesses in children aged 37 to 54 months. Arch Pediatr Adolesc Med 2003;157(2:196–200.Google Scholar
4. Friedman, JF, Lee, GM, Kleinman, KP, Finkelstein, JA. Child care center policies and practices for management of ill children. Ambul Pediatr 2004;4: 455–460.Google Scholar
5. Belongia, EA, Naimi, TS, Gale, CM, Besser, RE. Antibiotic use and upper respiratory infections: a survey of knowledge, attitudes, and experience in Wisconsin and Minnesota. Prev Med 2002;34(3:346–352.Google Scholar
6. Pennsylvania Department of Welfare. Keystone STARS Child Care Quality Initiative. http://www.dpw.state.pa.us/ParmersProviders/ChildCareEarlyEd/KeyStoneStarChildCare. Accessed September 14, 2009.Google Scholar
7. Pennsylvania Department of Welfare. Model child care health policies. http://www.ecels-healthychildcarepa.org/content/MHP4thEd%20Total.pdf. Accessed July 9, 2009.Google Scholar
8. National Resource Center for Health and Safety in Child Care and Early Education. Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs. 2nd ed. Elk Grove Village, IL: American Academy of Pediatrics; and Washington, DC: American Public Health Association, 2002.Google Scholar
9. Croft, DR, Knobloch, MJ, Chyou, PH, et al. Impact of a child care educational intervention on parent knowledge about appropriate antibiotic use. WMJ 2007;106(2:78–84.Google Scholar
10. US Department of Health & Human Services. CDC guidance on helping child care and early childhood programs respond to influenza during the 2009–2010 influenza season, http://www.pandemicflu.gov/professional/school/childguidance.html. Accessed September 18, 2009.Google Scholar